Stop Service Application

Mailing Address
PO Box 170
Granby, CO 80446-0170

Office Hours
Granby: 7:30 a.m. - 5:30 p.m. (Mon. - Thur.)
321 West Agate Ave.
Walden: 7:30 a.m. - 1 p.m. (Mon. - Thur.)
600 3rd Street

PLEASE NOTE THAT ALL ITEMS WITH A RED ASTERISK MUST BE COMPLETED IN ORDER TO SUBMIT THIS APPLICATION

Member Name:

Email Address:

Phone Number:

Service Address:

Mailing Address:

City/Town

State/Province

ZIP/Postal Code

Do You Currently Own or Rent?

Owner

Renter

If Renting, Please List Owner's First Name:

Last Name:

(Optional) If New Owner, Please List New Owner's First Name:

Last Name:

Please select the date you like your service disconnected: